Neonatal causes of upper gastrointestinal bleeding and treatment.doc

 PAGE \* MERGEFORMAT 15 Neonatal causes of upper gastrointestinal bleeding and treatment Of: Zhang Xiaorong, Li Guan move, Sunlan Xia, Li Yan together, Song Yanwen [Keywords:] newborn, upper gastrointestinal bleeding, etiology, therapy Newborn infants with upper gastrointestinal bleeding is a common complication of critical illness, it is reported combined mortality of the disease as high as 50.7% in children [1]. Therefore, the discussion of perinatal neonatal gastrointestinal bleeding in relative risk factor in active treatment on the basis of the primary disease, timely and effective control of upper gastrointestinal bleeding, for improving the prognosis of critically ill children has important significance. This article reviews the etiology of neonatal upper gastrointestinal bleeding and treatment. 1 factors of upper gastrointestinal bleeding The vast majority of infants with early neonatal gastrointestinal bleeding after the birth of the first 2 Book of gastrointestinal bleeding occurs, it is estimated with a few days after birth on the high acid, high acid after birth until 10 days after birth , especially 2 to 4 days before staggering. neonates with upper gastrointestinal bleeding in addition to their own high-acid on external factors closely related with the following. 1.1 suffocation, stress and study of upper gastrointestinal bleeding, stress ulcer neonatal perinatal major cause of gastrointestinal bleeding, and asphyxia caused by stress ulcer in the etiology of a dominant, especially in severe asphyxia asphyxia perinatal neonatal digestive tract is an important risk factor for bleeding. Its mechanism is as follows: including asphyxia due to various factors, including stress, due to diving reflex, systemic blood flow redistribution, gastrointestinal tract, blood vessels, the initial 50% reduction in local blood flow, if the cause can not be lifted in time the cause of stress, 8 h after the stress of gastrointestinal blood flow reduce